BioEcotech Official Website

Please complete this form as thoroughly and as accurately as possible. This will help us greatly in matching your capabilities to represent our product to our requirements. We want to make sure that distributing Bio Ecotech Products is the right decision for you and for us. All of the information provided will be held strictly confidential.

1) General Information

i. Company/Individual Name:

ii. Address:

iii. Country:

iv. Tel: v. Fax:

vi. Website:

vii. Email:

2) Company History and Structure

i. Year in which company was established:

ii. Is your company incorporated? Year:

iii. Annual revenues in local currency:

iv. Number of current employees:

v. Is the company privately owned/publicly traded corporation:

vi.Names and Titles of senior executives or officers of the company:

3) Products and Services

i. Product/Service Description
(Please state the Revenues from this Product/Service as a Percentage of Total Company Sales)

4) Distribution Channel

i. Which is your current territory of coverage? Please describe:

ii. Which are your major customer groups? (Retail customer or end-users of products, retail channels such as stores, commercial accounts, distributors etc.)

iii. What methods do you use to sell to your major customers? Please describe:

iv. Do you sell regionally, or nationally, or internationally? A few details please:

v. Do you provide customer service (after-sales service) for your products or services? Please provide a brief description:

vi. Do you have a warehouse to store inventory? How large is it in terms of square feet or square meters?

vii. Do you have to provide technical support for any of your products or services? Please provide a brief description.

viii. Do you presently represent any foreign manufacturers? Please provide some details:

5) Company Goals and Strategies

i. What opportunities do you see for distributing our products in your territory?

ii. What would be your estimate on the volume of business you could do in your territory in the first 12 months?

iii. What distribution strategies would you use in your territory?

List of Attachments to be submitted with this Questionaire

It would be very helpful to us if you could submit as many of the requested items as possible. All items submitted will be treated confidentially.

1. Product brochures and all other marketing collateral material (if available)
2. Supporting documents eg. ROC (Form 9 or 13), ROB (Form D), ROS etc.
3. Business references from banks and suppliers.
4. Testimonials from customers (if available).
5. List of contacts at company with whom we would be dealing.

Name of Person submitting this form: